NPIMap

Organization Active NPI

Mindful Living Institute LLC

  • Obesity Medicine (Internal Medicine) Physician
  • Clarksburg, MD
National Provider Identifier
1356880850
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
MINDFUL LIVING INSTITUTE LLC
Practice address
22616 Gateway Center Dr
Suite #600a
Clarksburg, MD 20871-2011
Phone
(301) 515-3333
Fax
(301) 515-3322
NPI assigned
Feb 16, 2017
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Harpal Singh Mangat, MD
Title
Vice President
Phone
(301) 515-3333

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
General Practice Physician 208D00000X NU
Obesity Medicine (Family Medicine) Physician 207QB0002X NU
Obesity Medicine (Internal Medicine) Physician 207RB0002X NU Primary
Obesity Medicine (Internal Medicine) Physician 207RB0002X D0058756 MD

Addresses

Primary practice location

22616 Gateway Center Dr
Suite #600a
Clarksburg, MD 20871-2011

Mailing address

22616 Gateway Center Dr
Suite #600a
Clarksburg, MD 20871-2011
Phone (301) 515-3333

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1356880850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22616 GATEWAY CENTER DR",
            "address_2": "SUITE #600A",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208712011",
            "telephone_number": "301-515-3333",
            "fax_number": "301-515-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22616 GATEWAY CENTER DR",
            "address_2": "SUITE #600A",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208712011",
            "telephone_number": "301-515-3333",
            "fax_number": "301-515-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL LIVING INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "MANGAT",
        "authorized_official_first_name": "HARPAL",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "301-515-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "MD",
            "license": "D0058756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.